Individual
BRADLEY THOMAS OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1750 105TH AVE NE, BLAINE, MN 55449
(763) 780-0356
Mailing address
12410 GOLDENROD ST NW, COON RAPIDS, MN 55448-2648
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5503
MN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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